MEDICARE: SAURA ELIZABETH CRAIG PT AT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3644	OK
2	2255A2300X	Athletic Trainer	449	OK

General Provider Information

NPI Number	:	1457430563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAURA ELIZABETH CRAIG PT AT

Provider Business Mailing Address
First Line	:	2408 EAST 81ST STREET
Second Line	:	SUITE 300
City	:	TULSA
State	:	OK
Zip	:	74137-4230
Country	:	US
Telephone Number	:	918-477-5041
Fax Number	:	918-477-5940

Provider Business Practice Location Address
First Line	:	2408 EAST 81ST STREET
Second Line	:	SUITE 300
City	:	TULSA
State	:	OK
Zip	:	74137-4230
Country	:	US
Telephone Number	:	918-477-5041
Fax Number	:	918-477-5940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	09/11/2025

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